| NPI | 1962786384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 11777-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV IC1872) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2025-06-20 |